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Thai Thuy Ta, DDS
Periodontist in West Covina, California
NPI 1003953563

Thai Thuy Ta is a Periodontist based in West Covina, CA and is specialized in Periodontics. Thai Thuy Ta practices in West Covina, CA and has the professional credentials of DDS. The NPI Number for Thai Thuy Ta is 1003953563 and holds a License No. 45530 (California).

The current practice location address for Thai Thuy Ta is 1740 W Cameron Ave Ste 106, West Covina, CA and can be reached out via phone at 626-337-4440. You can also correspond with Thai Thuy Ta through the mailing address at 1740 W CAMERON AVE STE 106, WEST COVINA, CA - 91790-2719 (mailing address contact number: 626-337-4440).

Location: 1740 W Cameron Ave Ste 106, West Covina, CA, 91790-2719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003953563
Provider Name
Thai Thuy Ta
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1740 W Cameron Ave Ste 106, West Covina, CA, 91790-2719
Phone Number
626-337-4440
Fax Number
Provider Enumeration Date
01/31/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
445530 01 CA G.G. DELTA
institution
Provider Business Practice Location Address Details
Address
1740 W Cameron Ave Ste 106
City
West Covina
State
California
Zip
91790-2719
Phone Number
626-337-4440
Fax Number
person
Provider Business Mailing Address Details
Address
1740 W Cameron Ave Ste 106
City
West Covina
State
California
Zip
91790-2719
Phone Number
626-337-4440
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
45530 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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